从临床实施先发性药物遗传小组的经验教训作为与雇主赞助的医疗计划测试试点计划的一部分
Madeline Norris1, Rachel Dalton1, Benish Alam1
1Department of Pharmacotherapy and Translational Research, University of Florida College of Pharmacy, Gainesville, FL, United States.
Frontiers in genetics
|September 8, 2023
概括
在雇主的健康计划中实施药物遗传学 (PGx) 测试揭示了挑战. 更清晰的患者教育和药剂师参与对于成功的PGx测试集成和改善患者护理至关重要.
科学领域:
- 药物基因组学 药物基因组学
- 临床实施科学 临床实施科学
背景情况:
- 药物遗传学 (PGx) 测试提供了个性化的医学见解.
- 雇主资助的健康计划正在探索PGx整合.
- 了解实施挑战和患者观点是关键.
研究的目的:
- 在雇主赞助的健康计划中评估PGx测试试点计划的实施情况.
- 确定项目推出和患者参与方面的挑战.
- 评估患者对PGx测试的态度.
主要方法:
- 对于服用相关药物的患者,使用了部分预防性PGx测试方法.
- 符合条件的患者可以通过电话或MyChart外展提供免费的PGx测试.
- DNA收集套件被邮寄给同意的参与者.
主要成果:
- 在244名符合条件的患者中,有110人参加了这次试验;有61人返回了试剂盒.
- 89%的参与者具有可操作的基于基因型的表型.
- 71%的人希望与PGx专家进行咨询,以解释结果.
结论:
- 对PGx结果进行有效的患者教育至关重要.
- 经过药物遗传学培训的药剂师在结果交付中发挥着至关重要的作用.
- 不准确的电子健康记录和患者的理解构成了实施障碍.
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